SURGICAL-MANAGEMENT OF CANDIDA SUPPURATIVE THROMBOPHLEBITIS OF SUPERIOR VENA-CAVA AFTER CENTRAL VENOUS CATHETERIZATION

Septic deep venous thrombosis is a major complication associated with central venous catheterization in intensive carl units. The most commo n causative organisms are Staphylococcus aureus, gram-negative bacilli and Candida species, The incidence of Candida infections is increasin g, especially in intensive care patients receiving total parenteral nu trition and longterm broad-spectrum antibiotics. Although intravascula r catheter-induced septic thrombophlebitis is quite common, superior v ena cava obstruction is a rare complication, However, few data exist c oncerning the best strategy for managing septic thrombophlebitis, espe cially when medical therapy fails. We report successful surgical manag ement of Candida albicans suppurative thrombosis of the superior vena cava in a young patient.